A Heideggerian Analysis of Good Care in an Acute Hospital Setting: Insights from Healthcare Workers, Patients and Families.

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aut.relation.journalNurs Inq
aut.relation.startpagee12561
dc.contributor.authorDewar, Jan
dc.contributor.authorCook, Catherine
dc.contributor.authorSmythe, Elizabeth
dc.contributor.authorSpence, Deborah
dc.date.accessioned2023-06-12T02:37:10Z
dc.date.available2023-06-12T02:37:10Z
dc.date.issued2023-05-17
dc.description.abstractThis study articulates the relational constituents of good care beyond techno-rational competence. Neoliberal healthcare means that notions of care are readily commodified and reduced to quantifiable assessments and checklists. This novel research investigated accounts of good care provided by nursing, medical, allied and auxiliary staff. The Heideggerian phenomenological study was undertaken in acute medical-surgical wards, investigating the contextual, communicative nature of care. The study involved interviews with 17 participants: 3 previous patients, 3 family members and 11 staff. Data were analysed iteratively, dwelling with stories and writing and rewriting to surface the phenomenality of good care. The data set highlighted the following essential constituents: authentic care: caring encompassing solicitude (fürsorge); impromptu care: caring beyond role category; sustained care: caring beyond specialist parameters; attuned care: caring encompassing family and culture; and insightful care: caring beyond assessment and diagnosis. The findings are clinically significant because they indicate the importance of nurse leaders and educators harnessing the potential capacity of all healthcare workers to participate in good care. Healthcare workers reported that participating in or witnessing good care was uplifting and added meaning to their work, contributing to a sense of shared humanity.
dc.identifier.citationNurs Inq, ISSN: 1320-7881 (Print); 1440-1800 (Online), Wiley, e12561-. doi: 10.1111/nin.12561
dc.identifier.doi10.1111/nin.12561
dc.identifier.issn1320-7881
dc.identifier.issn1440-1800
dc.identifier.urihttps://hdl.handle.net/10292/16254
dc.languageeng
dc.publisherWiley
dc.relation.urihttps://onlinelibrary.wiley.com/doi/10.1111/nin.12561
dc.rights.accessrightsOpenAccess
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subjectHeidegger
dc.subjectauxiliary healthcare staff
dc.subjectgood care
dc.subjecthealth professionals
dc.subjecthealthcare assistants
dc.subjecthospital care
dc.subjectnurses
dc.subjectphenomenology
dc.subject1110 Nursing
dc.subjectNursing
dc.subject4204 Midwifery
dc.subject4205 Nursing
dc.titleA Heideggerian Analysis of Good Care in an Acute Hospital Setting: Insights from Healthcare Workers, Patients and Families.
dc.typeJournal Article
pubs.elements-id506556
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